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360° Health®
A total-health solution that surrounds everyone with the help they need to live healthier, feel better and save money doing it.

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State of Maine Members

PW_040072

Point of Service (POS) Benefits  
September 1, 2010 Benefit Overview (POS)
Knee and Hip Replacement Surgery Frequently Asked Questions
Walk-in Centers
 
Anthem ConditionCare Incentive Program for Members
with Asthma or Heart Failure
 
 
Engaging in the ConditionCare program through 360º Health® may help you save money on certain office visits and related prescription drugs. For more information about saving money through this exciting new program, just click ‘Asthma’ or ‘Heart Failure’ below.  
Preferred Hospitals – POS Quality Tiering 
Find out which Maine hospitals are Preferred and how hospital quality is measured. 
Preferred Hospital List as of September 2010
Maine Health Management Coalition hospital quality ratings
Leapfrog Group hospital quality ratings
 
Preferred PCPs (Primary Care Physicians) – POS Quality Tiering  
Directory Sorted by City or Town
Directory Sorted by Specialty/Name
How does a Maine Primary Care Physician qualify as Preferred?
Maine Health Management Coalition Maine Doctor Rankings
 
Click here to access the online directory.
For Point of Service Plan, select HMO Choice from the "Select a Plan" drop-down menu.
For Out of State PPO Plan, select Comp-Care from the "Select a Plan" drop-down menu. 
Prescription Drug Benefits  
See the Benefit Overview and FAQ for your plan’s details  
Drug List

You’ll most likely see your drug on this list. Please note that the number of all drugs and strength combinations is so large that some less used prescription drugs may not appear on this list. If this is the case, please call Customer Service for assistance.

 
24/7 NurseLine (two benefits)  
Call 1-800-607-3262 and speak to a registered nurse who can help you decide how to handle a medical issue - 24 hours a day, 7 days a week. Also available 24/7 is our extensive AudioHealth Library. You can listen to confidential recorded messages on more than 300 topics by selecting the AudioHealth Library option when you call the 24/7 NurseLine number.  
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Whether you want to lose weight, eat healthier, exercise more or just feel better, Healthy Lifestyles has the online tools, resources and support you need to set personal goals and keep track of your progress. And you’ll be rewarded for your hard work with points that can be redeemed for great gear such as gym bags, headphones, T-shirts and more!  
With MyHealth@Anthem powered by WebMD, you can create your own highly personalized online health experience through a comprehensive suite of online tools and trusted health information. 
Helpful Links 
State of Maine Employees Health and Benefits Web Site
Maine Health Management Coalition
Leapfrog Group
Minimally Invasive Surgeries
 
Application and Change Form  
State of Maine Member Enrollment/Member Change Form (PDF)
 
PPO (Preferred Provider Organization) Out of State Plan Benefits  
PPO July 1, 2010 Benefit Overview
 
2010 Medicare Eligible Retirees in SmartValue Plans  
Click here to go to your SmartValue page for State of Maine Medicare-eligible Retirees: 
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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri: RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi") underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare") underwrites or administers the HMO policies; and Compcare and BCBSWi collectively underwrite or administer the POS policies. Independent licensees of the Blue Cross Blue Shield Association. ® ANTHEM is a registered trademark. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Serving residents and businesses in Indiana, Kentucky, Missouri (excluding 30 counties in the Kansas City area), Ohio, Wisconsin, Colorado, Nevada, Connecticut, Maine, New Hampshire and Virginia (excluding the city of Fairfax, the town of Vienna and the area east of State Route 123). Use of the Anthem Web sites constitutes your agreement with our Terms of Use